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Empowerment according to Persons with Severe Mental Illness: Development of the Netherlands Empowerment List and Its Psychometric Properties

机译:根据严重精神疾病患者的赋权:荷兰赋权列表的建立及其心理计量特性

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Objectives. It is unclear whether and to what extent purportedly empowering practices in mental health care, like rehabilitation programs, recovery-supporting mental health care environments and peer-run services, contribute to the process of empowerment. Several American empowerment questionnaires have been developed in recent years, facilitating the measurement of empowerment outcomes. Given likely major transatlantic cultural differences in a value-sensitive concept such as empowerment, this article describes the development of the Netherlands Empowerment List (NEL) and its psychometric properties. Methods. Patients in Dutch mental health services provided meaning to the empowerment concept from which the NEL was derived. Based on 531 completed questionnaires, analyses in agreement with COSMIN criteria examined aspects of internal consistency, content validity, structural validity, convergent validity, discriminant validity, reproducibility and responsiveness of the NEL. Results. The NEL is a 40-item self-report questionnaire with six subscales: Social support, Professional help, Connectedness, Confidence and purpose, Self-management and Caring community. Internal consistency (Cronbach’s alpha = 0.94), aspects of validity, reproducibility (intraclass correlation = 0.79) and responsiveness were good. Correlation with existing scales was the highest for the Mental Health Confidence Scale (r = 0.78) and the lowest for the Boston Empowerment Scale (r = 0.61). Conclusion. The NEL appears to be a suitable instrument to capture the dimension of empowerment in European mental health settings.
机译:目标。尚不清楚,据称,在康复计划,支持康复的精神保健环境和同伴运行服务等精神保健实践中,赋权的方法是否以及在何种程度上有助于赋权过程。近年来,已经开发了几份美国赋权调查问卷,以方便对赋权结果进行衡量。鉴于在诸如授权等对价值敏感的概念中跨大西洋的文化可能存在重大差异,本文介绍了荷兰授权列表(NEL)的发展及其心理计量特性。方法。荷兰精神卫生服务中的患者为NEL产生的赋权概念提供了意义。基于531份完整的问卷,与COSMIN标准一致的分析检查了NEL的内部一致性,内容有效性,结构有效性,收敛性有效性,判别有效性,可重复性和响应性等方面。结果。 NEL是一个40个项目的自我报告调查表,分为六个子量表:社会支持,专业帮助,人脉关系,信心和目标,自我管理和关怀社区。内部一致性(Cronbach的alpha = 0.94),有效性,可重复性(类内相关= 0.79)和响应能力方面都很好。与现有量表的相关性在心理健康信心量表中最高(r = 0.78),在波士顿赋权量表中最低(r = 0.61)。结论。 NEL似乎是捕捉欧洲精神健康环境中授权能力的合适工具。

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